Preliminary Experience in Reconstruction of the Vulva Using the Pedicled Vertical Deep Inferior Epigastric Perforator Flap

Abstract

The perineum is a difficult area to reconstruct because of its multiple functional and cosmetic roles. It functions as the pelvic floor, and it hosts the anus, the vulva, and the urethra. The benefits of using well-vascularized tissue in perineal reconstruction, such as the gracilis musculocutaneous flap, were recognized as early as 1976